*Name
*Position Title
*Dept.
*Institution
*Address
*City
*State
*Zip
*Country
*Phone
*Fax
*Email
Co-Presenter
Co-Presenter's Name:
Position Title
Dept.
Institution
Address
City
State
ZIP
Country
Phone
Fax
E-mail
(Maximum upload limit of 2MB.)
*TITLE OF PRESENTATION (10 words or less)
*ABSTRACT (to be published in Conference program--max. 100 words)
Please describe the purpose of the presentation, its application to the Conference theme
and focus, and a summary of the major outcomes.
*Please provide a full description of the presentation, expanding on the abstract. (max. 250 words)
*TYPE OF PRESENTATION:
*PREFERRED DAY:
Please note that all poster presentations are on Wednesday.
*PREFERRED TIME:
Please note that all poster presentations are 90 minutes.
*CONFERENCE TRACK:
Please list any equipment you intend to bring with you to use in your presentation. Individuals who indicate that they are bringing a laptop may be assigned to a multimedia room that does not have a computer provided, but does have a projector, screen, and sound system.
AWARD NOMINEES: Please indicate below if your college is nominating you for an award to be presented at the Conference:
Award for Innovative Excellence
Distinguished New Faculty Award
Boyer Award
ATTACHMENTS
You may upload the completed award nomination form, photograph, and any other required documents now or send them in later. You may also upload a paper to accompany your presentation for publication consideration. (Maximum upload limit of 2MB. Please email larger files to jmdavis@fscj.edu)
AGREEMENT
I hereby certify that I will present the paper or poster session I have submitted if this paper is selected for the 23rd International Conference on College Teaching and Learning in Ponte Vedra Beach, Florida, April 9-13, 2012. I understand that all presenters are required to register and that each must pay the appropriate special registration fee: Presenter $545, NCIA Member $345, or Award Nominee $615. I further understand that all fees must be paid by the deadline of March 9, 2012, and that failure to do so will result in cancellation of the presentation.
SIGNATURES (Enter names and date below.)
*PRESENTER
*DATE
CO-PRESENTER
DATE
SUBMIT THIS FORM NO LATER THAN February 17, 2012. All proposals must be submitted electronically, via either the Web or e-mail.
When you click Send Form below, your screen will display a feedback form showing your submission. Please be sure to print that page and save it for your records.
